Category: Sleep / Wake Disorders

Mini Workshop

Mini Workshop 9 - End the Insomnia Struggle: Enhancing Cognitive Behavioral Therapy for Insomnia Using Acceptance and Commitment Therapy

Friday, November 17
3:30 PM - 5:00 PM
Location: Aqua 300 A & B, Level 3, Aqua Level

Keywords: Sleep | ACT (Acceptance & Commitment Therapy) | Implementation
Presentation Type: Mini Workshop
Level of Familiarity: Basic to Moderate

Although Cognitive Behavioral Therapy for Insomnia (CBT-I) is a highly effective treatment, many patients struggle to fully comply with the instructions for stimulus control therapy, sleep restriction therapy, and sleep hygiene. Acceptance and commitment therapy (ACT) offers multiple strategies to help people increase their willingness to be uncomfortable in the service of their long-term goals. In addition, many people with insomnia are highly anxious about their insomnia and the actual or feared consequences of their poor sleep. This anxious arousal feeds the insomnia cycle. Cognitive restructuring and relaxation training, which are part of traditional CBT-I, can address this anxious arousal. However, both of these strategies feed into an agenda of control. And, often, people are trying so hard to control their sleep that sleep is controlling them! ACT offers additional strategies for managing sleep-interfering thoughts, including cognitive defusion and mindfulness training.

This workshop will help attendees blend ACT strategies with traditional CBT-I to enhance patient outcomes. In particular, attendees will learn how to help their patients decrease physiological arousal by decreasing struggle, be more willing to fully comply with behavioral treatments, and decrease cognitive hyperarousal using cognitive defusion and mindfulness. This workshop will include lecture, role-play, case examples, and attendee practice. Sample treatment handouts will be provided. These strategies are a part of a new self-help workbook for insomnia, titled "End the Insomnia Struggle: A Step-by-Step Guide to Help You Get to Sleep and Stay Asleep" (Ehrnstrom & Brosse, 2016).

Learning Objectives:


Recommended Reading: Ehrnstrom, C., & Brosse, A. (2016). End the insomnia struggle: A step-by-step guide to help you get to sleep and stay asleep. Oakland, CA: New Harbinger.
Brasure et al. (2016). Managing Insomnia Disorder: An Evidence Report for a Clinical Practice Guideline by the American College of Physicians. Annals of Internal Medicine. https://www.researchgate.net/publication/301792286
Ong, J., Manber, R., Seagal, Z., Xia, Y., Shapiro, S. & Wyatt, J. (2014). A randomized controlled trial of mindfulness meditation for chronic insomnia. Sleep, 37(9), 1553-1563.

Colleen Ehrnstrom

Department of Veteran Affairs, Eastern Colorado Healthcare System

Presentation(s):

Send Email for Colleen Ehrnstrom

Alisha Brosse

Private Practice and University of Colorado Boulder

Presentation(s):

Send Email for Alisha Brosse


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